340B Drug Pricing Program Database

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WAL-MART PHARMACY 10-1782
RRC510058-00 Camden-Clark Memorial Hospital Corporation d/b/a Camden Clark Medical Center

Covered Entity Details

Rural Referral Center
RRC510058-00
800 Garfield Avenue
Parkersburg, WV 26101
510058
4/1/2014
9/3/2014
10/1/2015


Pharmacy Details

701 GRAND CENTRAL AVE
VIENNA, WV 26105

Contract Details

7/22/2014
10/1/2014

10/1/2015
Covered Entity Terminated


Contacts


Michael A. King, President and CEO
(304) 424-2204



Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
7/22/2014